新疆生产建设兵团石河子地区心房颤动流行病学调查研究  

Analysis of the Current Status of Atrial Fibrillation Epidemiological Survey in Shihezi Area of Xinjiang Corps

作　　者：张强[1] 唐闽 邝雅杰 刘丹[1] 赵雪燕 赵媛媛[1] 张琳[1] 奴尔巴合提 ZHANG Qiang;TANG Min;GUANG Yajie;LIU Dan;ZHAO Xueyan;ZHAO Yuanyuan;ZHANG Lin;NUERBAHETI(Department of Cardiology,Shihezi People's Hospital of the 8th Division of Xinjiang Corps,Shihezi 832000,China;Chinese Academy of Medical Sciences/Beijing Fuwai Hospital,Beijing 100000,China;Ecg Network Diagnosis Center,Shihezi People's Hospital of the 8th Division of Xinjiang Corps,Shihezi 832000,China)

机构地区：[1]新疆兵团第八师石河子市人民医院心血管内科,新疆维吾尔自治区石河子市832000 [2]中国医学科学院/北京阜外医院,北京市100000 [3]新疆兵团第八师石河子市人民医院心电网络诊断中心,新疆维吾尔自治区石河子市832000

出　　处：《中国全科医学》2024年第33期4162-4167,共6页Chinese General Practice

基　　金：新疆兵团财政科技计划项目(2020CB012);第八师石河子市科技计划项目(2022NY05,2022SF009)。

摘　　要：背景心房颤动(简称房颤)是临床上较为常见的心律失常,具有高患病率、高致残率、高治疗费的特点,严重影响患者生活质量,国内不同地区以及不同人群中的房颤患病率有很大差异,目前新疆生产建设兵团地区对于房颤的患病率无较大规模流行病学调查。目的了解新疆生产建设兵团石河子地区房颤的患病率、相关的危因素、规范化的治疗状况,为本地区房颤预防、管理、治疗提供可靠数据支持。方法采用横断面年龄比例1∶10分层随机抽样调查2021年5月—2023年6月新疆生产建设兵团石河子地区18个农牧团场及市区18岁及以上常住居民63079人。采用问卷收集患者基线资料、房颤流行病学、知晓率及治疗情况。将患者分为房颤组(n=737)与非房颤组(n=62342)。采用多因素Logistic回归分析探究房颤发生的影响因素。结果共纳入新疆生产建设兵团第八师石河子地区居民63079人,平均年龄(54.9±15.3)岁。筛查出房颤患者737人,患病率为1.17%,根据年龄校正后患病率为1.12%。筛查人群中房颤知晓率仅为1.62%(1021/63079),其中确诊房颤人群中房颤知晓率52.78%(389/737)。18~39岁、40~49岁、50~59岁、60~69岁、70~79岁、≥80岁房颤患病率分别为0.05%(5/9964)、0.32%(29/9076)、0.62%(135/21686)、1.28%(151/11810)、3.05%(207/6776)、5.57%(210/3767);男性和女性房颤患病率分别为1.60%(441/27591)、0.83%(296/35488);汉族、回族、维吾尔族、哈萨克族、其他民族房颤患病率分别为1.20%(720/60014)、0.70%(7/1007)、0.62%(7/1130)、1.67%(2/120)、1.41%(1/171);城市区域及农牧团场区域房颤患病率分别为0.79%(350/44504)、2.08%(387/18575)。房颤组与非房颤组年龄、性别、年龄段分布、居住区域、受教育程度比较,差异有统计学意义(P<0.05)。房颤组吸烟、饮酒、高血压、冠心病、2型糖尿病、高脂血症、慢性心力衰竭、脑血管疾病、心脏瓣膜病、慢性肺部疾病�Background Atrial fibrillation(AF)is a common clinical arrhythmia characterized by high prevalence,high disability rate,and high treatment costs,severely affecting patients' quality of life.Currently,there is no large-scale epidemiological survey on the prevalence of AF in the Xinjiang Corps region.Objective To further understand the prevalence,associated risk factors,and standardized treatment status of AF in the Shihezi area of the Xinjiang Corps,this study aims to provide reliable data support for the prevention,management,and treatment of AF in this region.Methods A cross-sectional age-stratified random sampling survey was conducted from May 2021 to June 2023 among 63 079 permanent residents aged 18years and above in 18 pastoral and agricultural groups and urban areas of the Shihezi area of the Xinjiang Corps.A questionnaire was used to collect baseline data,epidemiological information,awareness,and treatment status of AF.Patients were divided into an AF group(n=737)and a non-AF group(n=62 342).Multifactorial Logistic regression analysis was used to explore the influencing factors of AF occurrence.Results A total of 63 079 residents from the Shihezi area of the Eighth Division of the Xinjiang Corps were included,with an average age of(54.9±15.3) years.A total of 737 AF patients were identified,with a prevalence rate of 1.17%,and an age-adjusted prevalence rate of 1.12%.The awareness rate of AF in the screened population was only 1.62%(1 021/63 079),of which the awareness rate among diagnosed AF patients was 52.78%(389/737).The prevalence rates of AF in the 18-39,40-49,50-59,60-69,70-79,and ≥ 80 years age groups were 0.05%(5/9 964),0.32%(29/9 076),0.62%(135/21 686),1.28%(151/11 810),3.05%(207/6 776),and 5.57%(210/3 767),respectively.The prevalence rates of AF in males and females were 1.60%(441/27 591)and 0.83%(296/35 488),respectively.The prevalence rates of AF among Han,Hui,Uyghur,Kazakh,and other ethnic groups were 1.20%(720/60 014),0.70%(7/1 007),0.62%(7/1 130),1.67%(2/120),and 1.41%(1/171),respectively

关 键 词：心房颤动 流行病学研究 患病率 石河子地区 横断面研究 

分 类 号：R541.75[医药卫生—心血管疾病]